| Jerome Wayne Baca, PA-C | |
|
6701 Jefferson St Ne, Albuquerque, NM 87109 | |
| (505) 727-6200 | |
| (505) 727-9590 |
| Full Name | Jerome Wayne Baca |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 6701 Jefferson St Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811243462 | NPI | - | NPPES |
| 64471870 | Medicaid | NM | |
| PA2012-0025 | Other | NM | NM MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2012-0025 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lovelace Women's Hospital | Albuquerque, NM | Hospital |
| Lovelace Medical Center | Albuquerque, NM | Hospital |
| Lovelace Westside Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Medical Associates, Llc | 7214831114 | 307 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Wayne Baca, PA-C 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 Ph: (505) 727-6200 | Jerome Wayne Baca, PA-C 6701 Jefferson St Ne, Albuquerque, NM 87109 Ph: (505) 727-6200 |
Audra Dawn Clemens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 Roma Ave Nw, Albuquerque, NM 87102 Phone: 505-262-3542 | |
Jessica Rose Gonzalez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 | |
Elise Nicole Pedigo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 Haines Ave Nw, Albuquerque, NM 87102 Phone: 505-268-5611 Fax: 505-268-5736 | |
Mrs. Danielle Kimberly Mccarthy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8301 Spain Rd Ne, Albuquerque, NM 87109 Phone: 505-821-6663 | |
Ms. Lauren Soules, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3615 Highway 528 Nw, Albuquerque, NM 87114 Phone: 505-248-1518 | |
Jennifer Lynn Otis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3741 Rutledge Rd Ne, Albuquerque, NM 87109 Phone: 505-798-9300 Fax: 505-798-0808 | |
Luke Ezekiel Glazener, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1125 |